Medsmart Pharmacy #4 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDSMART PHARMACY #4 LLC

Practice address

5106 NC Highway 87 S Ste 100
Fayetteville, NC 28306-3424

Phone

(910) 483-3466

Fax

(910) 483-0366

NPI assigned

Nov 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Williams, PHARMD

Title

President

Phone

(910) 734-3397

Specialties & licenses 1

Addresses

Other names 1

• Village Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Fairmont Drug Company LLC

  • Community/Retail Pharmacy
  • Fairmont, NC
  • NPI 1841838372

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Lockhart, PHARM.D.

  • Pharmacist
  • Fayetteville, NC
  • NPI 1013539501
  NPD
• Elton Wayne Long, PHARMD

  • Pharmacist
  • Fayetteville, NC
  • NPI 1669087953
  NPD
• Ashley McDonald, PHARM D

  • Pharmacist
  • Fayetteville, NC
  • NPI 1740540400
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1134838592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BROAD ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841533",
            "telephone_number": "910-865-4135",
            "fax_number": "910-865-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 NC HIGHWAY 87 S STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063424",
            "telephone_number": "910-483-3466",
            "fax_number": "910-483-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSMART PHARMACY #4 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-734-3397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakisha Latrell Medina
• Nathalie Medina
• Angela Medley
• Lillie Medlin, DDS
• Karla Belen Medrano, PA-C
• Alexandra Meek
• Meekness Home Healthcare Inc.
• Meekness Home Healthcare LLC
• Robert E Meeks Jr., M.D.
• Toni D Meeks, MD

• Community/Retail Pharmacy in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.